胃类癌的外科治疗

胃类癌是一类少见的胃肠道肿瘤,内镜切除或手术切除是主要的治疗手段。对原发肿瘤,首先应根据分型,其次根据肿瘤的大小、数量、侵犯程度、转移范围和临床症状采取适宜的手术方案,达到根治目的。对于进展期肿瘤患者,在切除原发灶同时,尽可能切除转移病灶,或通过介入方法使肿瘤缩小,达到手术切除的可能。减瘤减期可缓解激素介导的症状,减少肿瘤负荷,减轻局部和全身反应,提高生活质量和改善预后。

Surgical treatment of gastric cacinoid tumors

Gastric carcinoid tumors are rare tumors in gastrointestinal tract.Endoscopic polypectomy and surgical excision are the major strategy for treatment.For the primary tumors,the surgical management is generally decided on the lesion type,size,number of tumors,invasion degree,metastases and symptoms.For ad- vanced-stage carcinoids,the patients should undergo resection of the primary tumors and metastatic tumors as possible,or convert unreseetable to resectable tumors through interventional therapy.Surgical debulking is used to relieve hormone-mediated symptoms,decrease tumor load,reduce local and systematic reaction,and improve life quality and survival.